Providence Community Health
Warwick, RI
Providence Community Health Overview: The Revenue Cycle Specialist manages the financial aspects of patient care by accurately coding diagnoses and treatments, submitting claims to insurance companies, addressing billing inquiries, resolving all payment denials, ensuring timely and accurate reimbursement, while meeting department productivity and quality requirements. Key Responsibilities of a Medical Billing Specialist: Privacy: Maintain HIPAA standards at all levels of interaction, ensuring patient confidentiality and upholding a strong code of ethics. Accurate and Timely Coding: Translate healthcare services and procedures into standardized codes (ICD-10, CPT, HCPCS) Claim Submission: Prepare and submit electronic or paper claims to insurance companies. Insurance Verification: Verify patient insurance eligibility and coverage. Claim Follow-up: Monitor claim status, address denials, and resolving billing issues. Patient Billing: Bill patients for...